NurseGoodVol
Middle…ish
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- Oct 24, 2015
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When higher brain function is gone the automated side remains, the medulla oblongata. It will continue to drive involuntary functions like breathing and heart rate. The body goes through a series of compensatory actions to try to bring itself back into homeostasis until it has no reserves left.I have a question for you. If you don't feel comfortable answering here is understand but something has been bothering me for years.
When a person is at the end of life, do you feel the body's natural response is to fight? For context a hypothetical based in real situation. A person who's body is failing, all cognitive function gone, no longer able to communicate. Basically just breathing in the "death throws" as they call it. Is it the body just fighting in absence of concerted thought? If asked by the family would you give meds that might relax the body at that point to reduce the bodies natural response if the family asked?
When we know a person will not survive, there are many factors involved, we talk to the family about comfort care. Everything we do after that is centered around that pts comfort. The familys thoughts are definitely considered.
We don't know at that point if they feel pain or can hear, I have always chosen to believe they do so I talk to them and treat them for pain as the situation calls for. I involve the family with the choices. I always talk to the family about the pain medication and that it may hasten their death due to the side effect of slowing their breathing. It is very individualized and personal. Some families feel they are comfortable and choose not to medicate. I honor that, they know them best.